“面口合谷收”的机制研究概况

对运用现代医学手段解释"面口合谷收"的机制研究文献进行了归纳总结,以理清面口部与合谷之间的联系,用经络以外的理论来道明其所以然。口面部的感觉传入与合谷穴区的感觉传入在脊髓背根节、孤束核、网状结构、丘脑及大脑皮质的投射终止区相邻或重叠,都有可能发生会聚而互相作用,实现功能上的整合。此外,面口部、合谷穴与大脑之间的信息传入传出的神经活性物质也多种多样,这些均成为"面口合谷收"的物质基础。     

针刺刺激可达到前气功状态

目的：研究在短时间之内使普通人进入前气功状态的方法。方法：健康的试验参与者以不随机的方式纳入本次研究。使用多通道生理记录仪检测试验参与者是否有进入前气功状态。参与者在针刺合谷穴的时候获得酸（得气）的感觉,同时暗示参与者丹田处有热及放松的感觉,由此让参与者进入一个松、静、自然的前气功状态。结果：本研究中,72.2%没有习练气功经历的参与者成功进入前气功状态。参与者进入气功状态后,大部分生理指标与基线指标相比有显著差异。结论：使用针刺引起酸的感觉可以让试验参与者快速进入前气功状态。因此气功的研究不再限制在特定的人才可以实行,本研究方法可以应用到每个人身上。     

李鼎教授对奇经八脉的认识

李鼎教授对督脉、任脉、冲脉、带脉、维脉、跷脉等奇经八脉理论及英与正经的关系等进行了深入的研究,纠正了古代医家对督脉"合篡间,绕篡后"、冲脉循行等错误的理解,对督脉循行、任督经气运行的方向等不同认识进一步分析,加以整理,提出营气的运行方向,督脉是从上而下,任脉则是从下而上等,使奇经八脉理论更加完备,对后世奇经八脉的研究有重要的指导意义.     

Thalamic inputs and subcortical targets of cortical neurons in areas 5 and 7 of cat

Subcortical projection structures and thalamic inputs of single neurons in cortical areas 5 and 7 of cat were extracellularly investigated in locally anesthetized, encéphale isolé preparations and chronically implanted, behaving animals. Testing stimulations were applied to the lateralis intermedius (LI), lateralis posterior (LP), ventralis anterior (VA), and centrum medianum (CM) thalamic nuclei, the mesencephalic reticular formation, and the pontine nuclei. Output cells (N = 101) were identified by antidromic invasion, selectively elicited in 91 cells from PN, CM, LI, or LP; the remaining 10 neurons had branching axons to two of the above targets. Two cortical-subcortical circuits involve areas 5 and 7. In one of them, afferents of LI and/or LP origin mainly reach cortico-CM cells and, less often, neurons giving rise to a reciprocal cortico-LI or cortico-LP projection, Within the other circuit, corticopontine cells are synaptically activated from the VA nucleus or convergently modulated from both the VA and LI nuclei. The unexpectedly high proportion of antidromically identified cells suggest that many functions of the parietal “association” cortex depend on downstream projections to the thalamic integrative nuclei and to the pontocerebellar system. Forty-two nonoutput cells were modulated synaptically, especially from the LI nucleus, with high-frequency spike barrages similar to activities described in putative interneurons recorded from other cerebral structures. The thalamically elicited excitation of nonoutput cells occurred immediately after the early discharges induced in output cells, in close time relation with secondary depth-negative waves and with the onset of a long-lasting slow positive shift associated with silenced firing in output cells.     

口三针滞针牵拉法治疗顽固性面瘫面神经功能指数评价

目的:探寻治疗顽固性面瘫口角歪斜的有效针刺手法。方法:将101例顽固性面瘫患者随机分为观察组(48例)、对照组(53例)。两组在针刺患侧攒竹、四白、颊车、牵正的基础上,同取患侧口三针(地仓、口禾髎、夹承浆),观察组采用滞针牵拉法,对照组采用常规刺法,每天1次,10天为一疗程,观察2个疗程后面神经功能指数(FNFI)的变化。结果:治疗后两组FNFI均显著升高(均P0.01),且观察组优于对照组(P0.01),观察组面神经功能基本恢复率为87.5%(42/48),优于对照组的67.9%(36/53)(P0.05)。结论:口三针滞针牵拉法是治疗顽固性面瘫口角歪斜的较佳方法。     

Anti-obesity and antihyperlipidaemic effect of Hunteria umbellata seed extract in experimental hyperlipidaemia

Aim of the study

In Nigerian folk medicine, water infusion of the dried seeds of Hunteria umbellata (K. Schum.) Hallier f. has a reputation for the local management of obesity and hyperlipidaemia. The present study is aimed at evaluating the anti-obesity and antihyperlipidaemic activities as well as the underlying mechanisms of action of the aqueous seed extract of Hunteria umbellata (HU) in normal, triton-induced, and olive oil-induced hyperlipidaemic rats.

Materials and methods

Normal and olive oil-induced hyperlipidaemic, and triton-induced hyperlipidaemic rats were pre-treated with single, daily oral administration of 10 ml/kg of distilled water, 20 mg/kg of simvastatin, 50 mg/kg, 100 mg/kg and 200 mg/kg of HU in 10 ml/kg of distilled water for 28 days and 24 h. The effects of these drugs on % body weight change, feeding pattern, serum lipids, coronary artery risk index (CRI) and atherogenic index (AI) and Lee's index (LI) were investigated.

Results

Oral pre-treatment with simvastatin and graded oral doses of HU significantly (p < 0.05) reduced the weight gain pattern and caused dose related (p < 0.05, p < 0.01 and p < 0.001) reductions in the serum lipids, CRI, AI and LI. Also, HU pre-treatment significantly improved triton-induced hepatic histological lesions.

Conclusions

Results of this study showed that HU has both anti-obesity and antihyperlipidaemic effects which may partly be mediated via inhibition of intestinal lipid absorption and de novo biosynthesis of cholesterol. Thus, the results justify the ethnopharmacological use of the extract in the management of obesity and hyperlipidaemia.     

阴火论与慢性萎缩性胃炎中医治疗探析

慢性萎缩性胃炎病理演变过程与中医阴火病机理论存在相通之处。脾胃虚弱,元气不足,产生阴火;脾胃元气亏虚,升降失常,脾气下陷,"阴火"上冲,胃络损伤是慢性萎缩性胃炎发病的病机关键。阴火证治疗原则是益气、升阳、降火,从阴火论治为慢性萎缩性胃炎中医治疗提供一条新思路。     

电针合谷对子宫收缩乏力产妇宫缩时间的影响

目的:评价合谷穴对子宫收缩乏力的治疗作用与应用价值。方法:3个中心共276例产妇入组,所有病例随机分为针药组和药物组。药物组采用静脉滴注催产素治疗,针药组在药物组治疗基础上加电针合谷。观察电针合谷对子宫收缩乏力的影响,以及对宫缩持续时间和间歇时间的影响。结果:针药组对子宫收缩乏力的总有效率为97·1%,而药物组为70·3%,两组比较,差异有非常显著性意义(P<0·01);与药物组相比,针药组在治疗后0·5、1、1·5、2小时,对宫缩持续时间和间歇时间的影响差异有显著或非常显著性意义(P<0·05,P<0·01)。结论:由于产力异常而导致的难产可采用电针合谷的方法。